| NPI | 1366406720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 021699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 21699) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-03-03 |